# SMILE CONCEPT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952961971
- **Authorized official:** DR. MONICA ELIANA CHANG D.D.S (OWNER)
- **Authorized official phone:** (703) 721-4261

## Contact information

- **Practice address:** 7857 HERITAGE DR STE 320, ANNANDALE, VA 22003-5350
- **Practice address phone:** (703) 721-4261
- **Practice address fax:** (703) 782-8347
- **Mailing address:** 7857 HERITAGE DR STE 320, ANNANDALE, VA 22003-5350
- **Mailing address phone:** (703) 721-4261
- **Mailing address fax:** (703) 782-8347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2019
- **Last updated:** 06/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9225793 | — | VA |